Organization
GINGRAS CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK GINGRAS D.C. (OWNER)
(386) 767-6602
Entity
Organization
Contact information
Practice address
3113 S RIDGEWOOD AVE, SOUTH DAYTONA, FL 32119-3547
(386) 767-6602
(386) 767-6602
Mailing address
3113 S RIDGEWOOD AVE, SOUTH DAYTONA, FL 32119-3547
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH000-4590
FL
Other
Enumeration date
01/11/2010
Last updated
11/17/2010
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